HomeMy WebLinkAboutMauceri, Christopher s"'y`VFFOL f
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JUDITH T.TERRY ,� < Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
, Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS , Fax (516) 765-1823
MARRIAGE OFFICER � '���
RECORDS MANAGEMENT OFFICER �.1 �►of Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER •�.�,, �
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OFFICE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1477 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CHRISTOPHER & MARY ANN MAUCERI
Address 1 : P. O. BOX 1321
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner MAUCERI, CHRISTOPHER & MARY A.
Mailing Address 1 P. O. BOX 1321
City St Zip CUTCHOGUE NY 11935
Property Address 1 1455 EVERGREEN DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 1 lot 4.004
Cross Street
Building Permit Number Cross Reference:
Issue Date: 5/16/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY t o= < % Town Hall, 53095 Main Road
TOWN CLERK % H Z % P.O.Box 1179
# Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O y �I Fax(516)765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER ��1 ip # �����/� Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ••• •.,, , iiggs
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD MAY _ 6 1996
TO: Southold Town Building Department BIOG.DEPT.
FROM: Linda J. Cooper, Southold Town Clerk's Office OLD
DATED: May 3, 1996
Transmitted herewith is a copy of application No. 1538 for a Cesspool/
Septic Tank Construction Permit submitted by:
Christopher and Mary Ann Mauceri .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
A2)
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE C/
DISAPPROVE
Comments: l /-' 9W-12,-,2) 7, i •-/X471 A
Si n
er
Dated
1
OFFICE OF THE TOWN CLERK .."" "
Town of Southold .is" OLx
�J C� - Application Noi �3 g
Judith T. Terry, Town Clerk 4� G
Town Hall, 53095 Main Road t, • Construction
P. 0. Box 1179 1P0
Southold, New York 11971 � to �..
* ! Alteration
Telephone ��O �01 $10.00 Residential
(516) 765-1801 _ 1t� �� ' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ �} /
DATE MapLY /9.9
APPLICANT NAME: (h_r/f6e/" { , 7/ j7
A )22avC&_
APPLICANT ADDRESS: po rt3&X /3a/
z1vI Py ji93s
SEPTIC CESSPOOL A
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
single s d44/1my
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Chr4sf4012e1-- Y� ��� 19faizeoz
OWNER MAILING ADDRESS: ,DO(/JQdX /
ant&°g Ue /2/ //gas
OWNERO 7'SS / E rC� �ie
PR PERTY ADDRESS: J ' � Ye
C dc4a /Je /7y i/Pas
TELEPHONE NUMBER OF CONTACT PERSON : 0---/6-419,.3.4/1100 ay/hiz Gr e,
TAX MAP NO. : Section Block / Lot T
/0a
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
7)07- /* aGrM •
Signature of Applicant
RECEIVED BY: 10
Tow Clerk' Office
DATE: 3 G .
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